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General NPI Number Information
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NPI Number | 1609887736
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Entity Type | Organization
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Legal Business Name | STUART P. SONDHEIMER, M.D., S.C.
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 360 S. WAUKEGAN RD SUITE A
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City | DEERFIELD
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State | IL
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Zip | 60015-5654
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Country | US
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Telephone | 847-412-0311
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Fax | 847-412-0316
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Provider Business Mailing Address
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Address Line | 360 S. WAUKEGAN RD SUITE A
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City | DEERFIELD
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State | IL
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Zip | 60015-5654
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Country | US
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Telephone | 847-412-0311
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Fax | 847-412-0316
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STUART PHILIP SONDHEIMER
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Credential | M.D.
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Telephone | 847-677-2794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036-066719
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License Number State | IL
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